DR. MEHRUNISSA KAISER ANIS (MD) – Family Medicine Physician, NPI 1679156681

DR. MEHRUNISSA KAISER ANIS (MD) is a healthcare provider. based in Garfield heights, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35.152111 (OH). The NPI Number for DR. MEHRUNISSA KAISER ANIS (MD) is 1679156681

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEHRUNISSA KAISER ANIS (MD)
NPI
1679156681
Phone
(216) 518-4633
Address
5595 TRANSPORTATION BLVD
Enumeration Date
29 April 2021
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164448636
Graduation Year
2018 (8 years ago)
PAC ID
0042604985
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20241218000821
Address ID
OH441950001CL9500XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for DR. MEHRUNISSA KAISER ANIS (MD)

  • 5595 TRANSPORTATION BLVD

    GARFIELD HEIGHTS, OH 441255379

    Phone: (216) 518-4633

    Type: Mailing

  • 120 LOCUST AVE EXT

    MOUNT MORRIS, PA 153491355

    Phone: (724) 324-9001

    Fax: (724) 324-9005

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($54).

Total Amount

$84

General + Research + Ownership

Payments

5

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241218000821IFamily PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the registry number for DR. MEHRUNISSA KAISER ANIS (MD)?
The registry entry for DR. MEHRUNISSA KAISER ANIS (MD) shows NPI 1679156681.
Is DR. MEHRUNISSA KAISER ANIS (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. MEHRUNISSA KAISER ANIS (MD) as active.
What services align with DR. MEHRUNISSA KAISER ANIS (MD)'s listing?
DR. MEHRUNISSA KAISER ANIS (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MEHRUNISSA KAISER ANIS (MD)?
DR. MEHRUNISSA KAISER ANIS (MD) shows a connection to Garfield Heights, Ohio in registry-derived data.
Why is information missing for DR. MEHRUNISSA KAISER ANIS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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